Individual
DR. JOSEPH DEVAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2229 S MEMORIAL PL, SHEBOYGAN, WI 53081-3715
(920) 458-9301
Mailing address
1012 FALLS PARC DR, APARTMENT 15, SHEBOYGAN FALLS, WI 53085-3370
(360) 317-6495
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3352 - 35
WI
Other
Enumeration date
09/27/2011
Last updated
07/14/2014
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